Healthcare Provider Details

I. General information

NPI: 1225415086
Provider Name (Legal Business Name): ALIGN THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2015
Last Update Date: 01/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 N 1200 E SUITE 103
LEHI UT
84043-5865
US

IV. Provider business mailing address

PO BOX 362
LEHI UT
84043-0362
US

V. Phone/Fax

Practice location:
  • Phone: 801-980-0860
  • Fax: 801-980-0862
Mailing address:
  • Phone: 801-980-0860
  • Fax: 801-980-0862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number6630361-2401
License Number StateUT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DAVID DARRELL BUTLER
Title or Position: OWNER/DIRECTOR
Credential: DPT
Phone: 801-980-0860